HomeMy WebLinkAboutPermit Miscellaneous 2008-8-19
Status
Fmaled
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01247
ISSUED. 08/19/2008
APPLIED 08/19/2008
EXPIRES 02/19/2009
VALUE.
225 F,fth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspectoon LlDe
SITE ADDRESS 4475 DAISY ST 78
ASSESSOR'S PARCEL NO 1702323406500
SPRINGFIETYPE OF WORK Manufactured Home ID Park
TYPE OF USE
New
Residential
PROJECT DESCRIPTION Relocate service equIpment to new pole
Owner COUNTRY MANOR LTD PARTNERSHIP
Address 7007 SW CANRDlNAL SUITE 185
PORTLAND OR
I. CONTRACTOR INFORMATION I
Contractor Type
Electncal
Contractor
LR BRABHAM
License
8699
BUILDING INFORMATION I
ExpiratIOn Date
12/1812010
Phone
541-747-6638
# of Unots
Pnmary Occupancy Group
SecondJry Occupancy Group
Pnmary ConstructIOn Type
Secondary ConstructIOn Type
# of Bedrooms
# of Stones
Height of Structure
Type of Heat
Water Type
Range Type
Energy Path
Spnnkled BUlldlDg
Lot Size
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft GJragelCarport
Sq Ft Other
Occupant Load
nla
1 DEVELOPMENT INFORMATION I
REQUIRED PARKING
Front yard Setback
Side I Setback
Side 2 Setback
Rearyard SetbJck
Solar Setbacks
Overlay Dlst
# Street Trees Rqd
Paved Dnve Rqd
% of Lot Coverage
~ <
Total
HandIcapped
Compact
_ __~ \...,,, r~,"'lnrp':; \'OU to
Street Improvements
1 PUBLIC IMPROVE"};".fi~ II~'~ 'a~oPte-d by the 01 ego'1 l-t'lf'lltYth
I"""":," ,I Those rules are se or
Notification ce~W6"'6'l~r'&lyll OAR 952-001-
In OAR 952-00 - < f ~e rules by
0090 You ma)Oil~p~~~~elephone
calling tfhe tCheentoe;eg(on Utility Notification
number or 44)
Center IS 1-800-332-23 .
Storm Sew'lIJ~'lTl:'b~e
SpeclJI Instru~tion.t:.
/ H ;:; PERMIT SHAL
Notes AUTHORIZED UNDE~ EXPIRE IF THE WORK
COMMfMrlOrl "~/- THIS PEfiM/T /(' 'rT
fI/VY 180 DAY -n U MOAIVDON - . ~
PERIOD f%9Sttion DescrIption I
DescriptIOn
Tvpe of ConstructIOn
$ Per Sq Ft
or multoploer
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 orz
Status
Fmaled
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO. COM2008-01247
ISSUED: 08/19/2008
APPLIED 08/19/2008
EXPIRES. 02/19/2009
VALUE:
225 FIfth Street, Sprmgfield, OR
54]-726-3753 Phone
54]-726-3676 Fax
54]-726-3769 ]nspectlOn Lme
Total Value of Project
Fees Paid I
Fee DescriptIOn
+ ]0% AdmmlStratove Fee
+ 12% State Surcharge
+ 5% Technology Fee
'Manufactured Home ServIce
Amount PaId
Date PaId
ReceIpt Number
$570
$684
$285
$57 00
81]9/08
81]9/08
81]9/08
8/19/08
3200800000000000582
3200800000000000582
3200800000000000582
3200800000000000582
Total Amount PaId
$72 39
I Plan RevIews I
To Request an inspection call the 24 hour recordmg at 726-3769. All mspections requested before 7.00
a m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
I Relllllred I nsneetions .
, ,
MH ServIce Approval requIred proor to utlhty company energlZmg servIce
By sIgnature, I state and agree, tbat I bave carefully exammed the completed apphcatlOn and do hereby certofy that all
mformatlOn hereou IS true and correct, and] further certIfy that any and all work performed shall be done 10 accordance wIth
the Ordmances of the CIty of Sprongfield .md the Laws of the State of Oregon pertammg to the work descrobed herem, and
that NO OCCUPANCY WIll be made of any structure wIthout permISSIOn of the CommuDlty ServIces DIVISIon, BUlldmg Safety
I further certIfy that only contractors and employees who are 10 comphance wIth ORS 70] 005 WIll be used on thIS project
I further agree to ensure that all reqUIred mspectlOns arc requested at the proper tome, that each address IS readable from the
street, that the permIt card IS located at the front of the property, and the approved set of plans wIll remam on the sIte at all
times dunng constructIon
Owner or Contractors SIgnature
Date
Paee 2 of 2
City of Sprmgfield
Electrical AuthorizatIon To Begm Work
[-mailed To bhalada@qulXnet net
ReceIpt # EC536409
811912008 1 14 29 PM
~
By Phone
Check on status of permit
(541)726-3753 or [mall permltcenter@clsprmgfield orus
TYPE OF WORK
10 New \"onstruLllOn
IX) Addlllon/alterdllOnJrLplaccmcnt
CATEGORY OF CONSTRUCTION
I [K] I or 2 fmmly d\\Lllmg
o Mulll family
D CommerclJII Induslnal
JOB SITE INFORMATION AND LOCATION
IJob no 7175 ]Job llddrelo\ 4475 DAISY ST
I C1t)/Statel"LIP SPRINGFIELD, OR 97478 6655
1 SUlte/bldg Inpl no SPC 78
I Project name
Cross street/dl.-ectlOn.'l to Job site
I SubdlVI\IOn I Lot no
lla' map/parcel no ] 701323406500
I DESCRIPTION OF WORK
RELOCAI c ,ERVICl lQUIPMlN I TO NeW pall
[Name
SITE CONTACT
DAVID
(541)9541452
IFax
IPhone
I Em,lIl
I
I" J he no 20-87C
I BU\mC!llo Nllme LR BRABHAM INC
I Contacl 8699
IAddn...!>!> 68 W Q ~ I
IClt)/StatLfI.IP SPRINGFIFLD OR 97477 2142
II'hone (54])7476638 If ax None
I" mall bhJlada@qul:\netnet
I Metro he no
ISupervl'lm~ electnCIlID's hc no 4944")
jSupervlMng electnclun'lt name LARRY R BRABHAM JR
CONTRACTOR
ICCB IIc no
8699
IOty he no
Upon review and approval by your local JUrisdiction, your
permit Will be e-malled or faxed wlthm one bus mess day,
With Instructions on how to schedule your mspectlon
NOTE ThiS Authorization To Begm Work expires Within 180
days If a permit Is not obtained
The local bUilding department may dotermine that an
AuthOrization To Begm Work IS null and void if It does not
meet applicable land use laws and local ordmances
COM
FEE SCHEDULE
I Deltcnphon Qty 1< It lotal
I Resldentml SINGI 1< - OR mulh-f.lmll) dv.e1bng umt IncludL'l
attached garage
II OOOsq ft or less I I
I Fa .tddl 500 sq ft or portion I
I Limited .lllergy
I LImited energy n..,sldentlal
(With above sa ft)
I .. LImited energy, mulufamlly
resIdential (wlIh above sa ft)
I' LImIted energy commercia"!
(\',.'Ith above Sa ft)
I Stand-alone limited energy,
rcsldentldl
I Stand-alone limited energy,
multi famlh
I Stand-alone limited energy
commlH.lol
I Servlce~ OR feedeN IOshlllahon, alteratIOn, A~D/OR relocallon
1200ampso'less I I I
1201 amp>!o 400 amps I I
140 I ampsto 599 amps I I I
TEMPORARY 'llrvlCClt OR feeders Installallon, aUerutlOn,
Al\D/OR relocatIOn
200 amps or less
201 amps to 400 amps
40 I amps to 599 amps
Branch CircUits - Nh W, alteratIOn, OR eltlnslon, per p'mel
A I ee for branch I.Jn.UltS \\Ith
service or leeder fee each
branch CIrculi
B fee for branch CirCUits
VllthOlll :,ervlce or fll.derfee
first branch CIrCUIt.
each addl branch CirCUit
MlscellllnlOus
Service reconnect only
each manulhctured or modular
dwellmg, servlCI., dnd/or feedl.,r
Pump or Irngallon CIrcle
Sign or oulllne Ilghtmg
SIgnal clrcUlt(s) or llmlted
energy panel alteration or
c'\tenslOn
I
I
$57001
I
I
I
I
$5700
$684
$855
$72 39
5% Technology fee
$5700
ELECTRICAL PERMIT FEES
Subtotal
State Surchame (12% ofpennn fee)
Cl{\, Of Sprmgfkld fees.
TOTALPhRJ\1IfI<EE
~~.>iI~lllrrr~S~Olmmstfl1llor.~ee
~ 2. (JlJ 8'" - S g-- 2-
RCYf #. .
DATE PROCESSED Y/ /9 /" 0'&
PROCESSE~ ,., /0, ,-""'
ThiS AuthOrization To Begin Work must b ~ posted at ?h~1o~reD"~rf'rl ,,~ Permit
I
225 FIfth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-01247
COM2008-01247
COM2008-0 1247
COM2008-01247
Payments
Type of Payment
ONLINE CHGS
CRCCClOtl
RECEIPT #:
Descnptlon
Manufactured Home ServIce
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmInistrative Fee
Paid By
ONLINE PERMIT CHGS
a,P~lN~F1~. . [
1*1
-..' -
M _~_
CIty of Sprmgfield Official ReceIpt
Development ServIces Department
Pubhc Works Department
3200800000000000582
Date: 08/19/2008
Item Total
Check Number AuthorizatIOn
Received By Batch Number Number How Received
NJM ONLINE LR Onlme
BRABHAM
Payment Total
Page I of 1
2 37 50PM
Amount Due
5700
285
684
570
$72 39
Amount Paid
$72 39
$72 39
8119/2008